Individual
BRITTANY NICOLE LASORELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW, CDCA
Contact information
Practice address
624 MARKET AVE N, CANTON, OH 44702-1017
(330) 493-4553
(330) 493-3761
Mailing address
624 MARKET AVE N, CANTON, OH 44702-1017
(330) 493-4553
(330) 493-3761
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA164163
OH
104100000X
Social Worker
Primary
S.1904484
OH
Other
Enumeration date
08/15/2018
Last updated
11/02/2021
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